0001209191-17-012211.txt : 20170217
0001209191-17-012211.hdr.sgml : 20170217
20170217170213
ACCESSION NUMBER: 0001209191-17-012211
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170215
FILED AS OF DATE: 20170217
DATE AS OF CHANGE: 20170217
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: DOMINOS PIZZA INC
CENTRAL INDEX KEY: 0001286681
STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-GROCERIES & RELATED PRODUCTS [5140]
IRS NUMBER: 382511577
BUSINESS ADDRESS:
STREET 1: 30 FRANK LLOYD WRIGHT DRIVE
CITY: ANN ARBOR
STATE: MI
ZIP: 48106
MAIL ADDRESS:
STREET 1: 30 FRANK LLOYD WRIGHT DRIVE
CITY: ANN ARBOR
STATE: MI
ZIP: 48106
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GOLDMAN JAMES A
CENTRAL INDEX KEY: 0001194070
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32242
FILM NUMBER: 17622188
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-02-15
0
0001286681
DOMINOS PIZZA INC
DPZ
0001194070
GOLDMAN JAMES A
DOMINO'S PIZZA
30 FRANK LLOYD WRIGHT DRIVE
ANN ARBOR
MI
48105
1
0
0
0
Common Stock, $0.01 par value
2016-10-24
4
G
0
537
0.00
D
14225
D
Common Stock, $0.01 par value
2016-11-08
4
G
0
61
0.00
D
14164
D
Common Stock, $0.01 par value
2017-02-15
4
A
0
600
0.00
D
13564
D
This transaction involved a gift of common stock of Domino's Pizza, Inc. by Mr. Goldman to charity.
The shares of common stock represent a grant of restricted stock that shall vest 100% on the first anniversary of the issuance date. Thus, all shares shall vest on February 15, 2018.
/s/ Adam J. Gacek, attorney-in-fact
2017-02-17